how is bronchoalveolar lavage done
bronchoscopy
-saline solution put in bronchoscape to wash airways and capture fluid sample
what does fluid contain
cellular components
could be cancer cells, fungal, etc
-we can do cell counts
cultrue from BAL
causative agents on pneumonia
don’t work up unless >100K
what stain done on this specimen
gomori silver stain
detect pneumocystis
#1 killer of AIDs
normal BAL
normal majority= macrophages
same amount= neutrophils and lymphs
in smokers we will see
charcoal deposits